NPI | 1699762716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN196200) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN35392) |
363L00000X Nurse Practitioner (Licence: MA 196200) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2023-04-25 |